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Strengths and difficulties of the psychodynamic approach
Strengths and difficulties of the psychodynamic approach
Psychodynamic perspective
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Introduction Cognitive-Behavior Theory is currently one of the most widely practiced theories around the world (Kottler, 2007, pp.29). With roots in both psychology and philosophy this theory challenges individuals to examine irrational thoughts that result in emotional suffering (Kottler, 2007, pp.29). Cognitive-Behavior Theory resulted in the development of therapies such as Cognitive Behavioral Therapy originated by Aaron Beck and Rational Emotive Therapy originated by Albert Ellis. There are now over 330 outcome studies on cognitive-behavioral interventions with research continuously being added (Knapp & Beck, 2008, pp.56). This theoretical orientation will be discussed in great detail, as it is a significant addition to the current psychological …show more content…
There were multiple influencers of this theory such as Beck, Ellis, Meichenbaum, Mahoney and Cautela (Knapp & Beck, 2008, pp.55), however the most widely known theorists were Aaron Beck and Albert Ellis. The theory transpired in part due to Beck’s studies involving psychoanalysis. He had been studying depression in relation to psychoanalytic concepts, however the studies revealed that there was actually very little validation for the application of psychoanalytic concepts to depression (“History of CBT,” 2015). This led to the formation of new theories of depression, such as the concept of automatic thoughts. These thoughts are defined as an individuals’ negative thoughts about themselves, the world, or the future (“History of CBT,” 2015). As a result of this discovery Beck began a new approach to therapy that involved the client changing their automatic thoughts to create enduring change (“History of CBT,” 2015). This therapy is now commonly known as cognitive behavioral therapy. Like Beck, Ellis practiced psychoanalysis in the 1940’s however he began practicing his own innovation rational emotive behavior therapy in 1955 (“About Ellis,” 2014). He observed that clients could modify their irrational beliefs through logical-empirical questioning, challenging, disputing and debating (Knapp & Beck, …show more content…
CBT does not implement one rigid plan to use for every client but the outline should consist of building a good therapeutic relationship, setting goals, planning treatment, and selecting interventions (“History of CBT,” 2015). In CBT the irrational beliefs of events are the core psychological variable in psychopathology. Clinicians would need to address this key component in a way that would effectively treat the psychological distress. To do so they would first need to create a relationship built on trust and confidence, they would then need to address the type of unrealistic thinking that is occurring within the client and the situations in which it occurs. By doing so the clinician will be able to appropriately help the client identify and evaluate their thoughts. With the thoughts now recognized the clinician can help the client change their distorted thinking through the interventions that work best for the particular psychological distress that is occurring (“History of CBT,” 2015). CBT is beneficial in treating many different populations, however studies have shown it is very effective for some and moderately effective for others. Butler et al. (2006) found a large effect size for CBT in the unipolar depression, generalized anxiety disorder, panic disorder, social phobia, posttraumatic stress disorder, and childhood depressive and anxiety disorder
Cognitive Behavioral Therapy appears to be a new treatment, although its roots can be traced to Albert Ellis’s Reason and Emotion in Psychotherapy, published in 1962. Cognitive therapy assumes that thoughts precede actions and false self-beliefs cause negative emotions. It is now known that most depression treatments have cognitive components to them, whether they are recognized or not. In the 1970’s many psychologists began using cognitive components to describe depression. From there, they developed cognitive forms to treat depression with impressive results (Franklin, 2003).
One of the primary reasons I prefer to utilize CBT is due to its compatibility with my personality. I am an organized, logical, and direct individual, all of which CBT encompasses well. CBT is a highly structured therapy. Even though there isn’t a particular order to procedures while utilizing CBT, there does tend to be a natural progression of certain steps. This aspect allows me to feel as though I am leading client’s to their goals in a logical manner. Not only that, CBT has a great deal of research backing that has proven it to be effective in treating several diagnoses such as depression and anxiety (Corey, 2013). Perhaps the best quality of CBT is the fact that it is known for having an openness to incorporating techniques from other approaches. According to Corey (2013), most forms of CBT can be integrated into other mainstream therapies (p.
...houghts and feelings about themselves, the world, and others into positive things which resulted in long lasting changes. Since Dr. Beck’s initial cognitive behavioral therapy there have been many researchers and theorists who have expanded on his work which has lead CBT to evolve very positively.
Shaughnessy, M. F., & Mahan, V. (2002). An interview with Albert Ellis about rational emotive behavior therapy. North American Journal of Psychiatry, 4(3), 355-366.
CBT and rational emotive behaviour therapy REBT (Ellis, 1955) rely on self-reflection and evaluation in order to achieve success. CBT utilises the stimulus -response (SR) model (Pavlov, 1903). Reflexive response to stimulus (Gross, 2005) becomes modified to stimulus –cognition- response (SCR) (Beck, 1967). This introduces a reflective element, similar to the input- processing -output schema found in the computational model of the mind (Putman, 1961, 1988; Fodor, 1979). Decision-making and rationality (Jones and Pulos, 1993) are employed in order to negotiate knowledge of internal influence. Once this knowledge is perceived cognitions are evaluated and reassessed before rational alternatives are generated (Ellis, 1962). Thereby introducing the possibility of transformation. CBT is most effective with anxiety disorders (Beck et al 1985; Schoenberger et al, 1997; Brown 2007) and eating disorders (Baker and Nash, 1987; Griffiths et al, 1996). Meta analysis also supports the use of CBT with depression (Gaffan, Tsaosis, Kemp-Wheeler, 1995; Butter and Beck, 2000). However, whilst some studies suggest that CBT is most effective when used alone i.e. without drugs (Marks, Swinson, Basoglu, Kuch, N...
Cognitive Behavioral Therapy provides a collaborative relationship between the client and the therapist with the ultimate goal of identifying irrational beliefs and disputing those beliefs in an effort to change or adapt behavior (Corey, 2013). The developers of Cognitive Behavioral Therapy saw humans as capable of both rational and irrational thoughts and able to change the processes that contribute to irrational thinking (Corey, 2013). CBT is a more direct approach than some other therapy theories practiced today in that it challenges the client to identify aspects about their self through cognitions. This therapy, as discussed in Corey (2013) also provides an educational component such that therapist teach clients tools to effectively change the way they think to a healthier way. There are a multitude of techniques associated with CBT such as shame attacking exercises, changing ones language...
In psychotherapy, there are several categories that encompass the psychotherapy approaches (Corey, 2005). Each category is exceedingly broad, generally covers 2 or more approaches. Hence, to divide our focus, this paper will concentrate more on action therapies category (Corey, 2005) or known as Cognitive Behaviour. As mention before, each classification has an extensive major to cover; hence, to recognize cognitive behaviour as a whole, we should acknowledge its sub-categories; those are Cognitive Therapy (CT) and Rational Emotive Behavioural therapy (REBT). Even though both CT and REBT remain under the same classification and share basic element of cognitive, there are distinctly different practices in their nature of therapeutic methods and style in the counselling therapy (Corey, 2005). Nevertheless, the discussion in this paper will limit to the CT approach. Furthermore, the basic theoretical principles, how the CT theory fit my personality, and how the knowledge of the CT approach affects my personal life will be the discourse of the discussion.
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
These types encompass Cognitive Therapy, Rational Emotive Behavior Therapy (REBT), and Multimodal Therapy. For instance, an individual anguish from a quiet confidence that activates negative thoughts about his or her capacity or display. As a result of these patterns of negative thinking, the person might start averting social issues or passing up opportunities for advancement (Wedding & Corsini, 2014). Cognitive behavior therapy frequently adapted for clients who are comfortable with contemplation. For CBT to be efficient, the Client must be eager to evaluate his or her logic and feelings. Such rumination may be difficult, but it is an excellent way to acquire how internal states impact outward behavior. Cognitive behavior therapy is also appropriate for people looking for an interim alternative treatment that does not inevitably contain pharmacological medication. One of the assets of CBT that aid clients was developing coping strategies that may be beneficial both now and in the
Beck, A. (1978). Cognitive therapy of depression (The Guildford Clinical Psychology and psychopathology series). New York, N.Y : Guildford Press.
Cognitive Behavioral Therapy (CBT) is a hands-on form of psychotherapy that is empirically based, which focuses on the interrelationship between emotions, behaviors, and thoughts. Through CBT, patients are able to identify their distorted thinking and modify their beliefs in order to change their behaviors. Once a patient changes their distorted thinking, they are able to think in a more positive and realistic manner. Overall, CBT focuses on consistent problem solving strategies and changing negative thought distortions and negative behavior. There are different types of CBT, which share common elements. Trauma Focused Cognitive Behavioral Therapy is a kind of CBT, which falls under the umbrella of CBT.
Ellis (1957, 1962) was one of the first to use Rational Emotive Behaviour Therapy (REBT) which is a type of cognitive therapy that focuses on an outcome of changing irrational beliefs into more rational ones. From this stemmed the ABC Technique of Irrational Beliefs (Simplypsychology.org, 2017). This is a three-step process in which to analyse the
Cognitive behavioral therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors (NAMI, 2012). It is designed to modify the individual’s normative dysfunctional thoughts. The basic cognitive technique consists of delineating the individual's specific misconceptions, distortions, and maladaptive assumptions, and of testing their validity and reasonableness (Beck, 1970). By exploring thought patterns that lead to maladaptive behaviors and actions and the beliefs that direct these thoughts, people with mental illness can alter their thought process to improve coping. CBT is different from oth...
Cognitive-behavioural therapy, or as it is commonly referred throughout literature CBT is an integration of Ellis’ (1996) Rational Emotive Behaviour Therapy (REBT) and Becks’ Cognitive Therapy (1976). CBT regards a variety of interventions that share the same basic assumption that mental disorders and psychological distress are sustained by cognitive factors. The central idea of this psychotherapy approach is that maladaptive cognitions contribute to the maintenance of emotional distress and consequently behavioural problems (Beck, 1970; Eliis, 1962). We, as humans, gather information in our brain in certain patterns or schemas that contain general knowledge about that world and the person themselves and these schemas are used to interpret, select and reduce
For this week's discussion the theory that resonated with me the most is the Cognitive Behavioral Theory with Dr. Krumboltz. I have always been drawn to the CBT, as I feel that an individual's negative or destructive behaviors can be changed for the better with the right intervention, client understanding, acceptance and awareness of their role in their behavior. Dr. Krumboltz terms this as a learning approach (01:35). The video displays Dr. Krumboltz and his client Robin discussing the issues Robin is experiencing with her mother-in-law, as well as the impact those issues at times have on her marriage.